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Publications (1)0 Total impact

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    ABSTRACT: Craniopharyngiomas represent about 6÷9% of intracranial neoplasms in children and most commonly present the age of 5 - 15. Object of our study are patients in the age under 20 years with diagnosed Craniopharyngioma, treated in the Department of Neurosurgery at the University Hospital “Alexandrovska” – Sofia, during the period 1994 – 2003. Our research comprises 28 patients – 11 male (39.3%) and 17 female (60.7%). An analysis of data from available medical documentation was done. Most often the onset of the disease was between 5 – 15 years of age (53.5%), with headache – in 16 patients (57.1%), amenorrhea – in 5 (17.9%), and vomiting – in 3 (10.6%). Vision impairments were the first symptom in one patient (3.6%). The average period between the onset of disease and admission in the clinic was 2 years and 6 months. Symptoms at the moment of admission were: headache – in 21 (75.0%) patients, vision impairments - in 17 (60.7%), endocrine disorders – in 15 (53.6%). In 12 patients occlusive Hydrocephalus was present (42.9%). Total resection was performed in 5 patients (17.9%), subtotal – in 8 (28.6%), partial - in 11 (39.3%). One patient was not operated on. Improvement of the condition was found in 19 (70.4%) of the operated. One patient died in the early postoperative period (3.7%). Tumor reccurence was found in 13 patients (46.4%). The study results are compatible with those in the literature. More than half of the patients have impairments of vision at the moment of admission in the clinic.
    Praemedicus since 1925. 01/2004; 25:44-49.